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NPI Code Detail

MEDICARE: CALDWELL HOSPICE AND PALLIATIVE CARE, INC.

MEDICARE: CALDWELL HOSPICE AND PALLIATIVE CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
3251G00000XCommunity Based Hospice Care Agency0140032999NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2023MHOTHERNCBCBS

General Provider Information

NPI Number : 1184711301
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALDWELL HOSPICE AND PALLIATIVE CARE, INC.
Provider Business Mailing Address
First Line : 902 KIRKWOOD AVE NW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5121
Country : US
Telephone Number : 828-754-0101
Fax Number :
Provider Business Practice Location Address
First Line : 902 KIRKWOOD AVE NW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5121
Country : US
Telephone Number : 828-754-0101
Fax Number :
Authorized Official
Title or Position : INTERIM CEO
Name : MS. EDITH S RIDDLESPURGER
Credential :
Telephone Number : 828-754-0101
Provider Enumeration Date : 10/09/2006
Last Update Date : 05/30/2024

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